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Association of Variation in US County-Level Rates of Liver Surgical Resection for Colorectal Liver Metastasis With Poverty Rates in 2010

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Key Points Question Do county-level rates of liver metastasectomy for colorectal liver metastasis (CRLM) vary geographically in the US based on county-level socioeconomic characteristics? Findings In this cross-sectional study of… Click to show full abstract

Key Points Question Do county-level rates of liver metastasectomy for colorectal liver metastasis (CRLM) vary geographically in the US based on county-level socioeconomic characteristics? Findings In this cross-sectional study of 194 US counties and 11 348 patients, the adjusted odds of undergoing liver metastasectomy for CRLM was lower in counties with higher poverty in 2010. However, county-level poverty was not associated with receipt of surgery for stage I colorectal cancer. Meaning The results of this study suggest that access to surgical care for complex gastrointestinal cancers such as CRLM in the US may be partially affected by where patients live.

Keywords: level; level rates; poverty; colorectal liver; rates liver; county level

Journal Title: JAMA Network Open
Year Published: 2023

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